The first brain aneurysm clipping with craniectomy was performed 60 or 70 years ago and it was generally admitted as the best treatment after the introduction of microsurgery in the early 1960s.
In the case of bad patient’ condition, severe haemorrhagic brain edema and damage, difficult-to-reach surgical site, or cerebral vasospasm, however, the problems often accompanied by ruptured cerebral aneurysms. Therefore, it had been under many constraints in surgery.
A goal of the treatment for aneurysm rupture is to prevent re-bleeding by blocking the blood flow toward the aneurysm. Following the purpose, a new medical method of brain aneurysm devascularization through an endovascular surgical procedure was introduced instead of the usual method of a section (making an incision) on dura mater and the skull with scalpel directly. Various ways of intravascular operation were introduced continuously, but they did not produce good results. In the meantime, Guglielmi Detachable Coil(GDC) was developed in 1990 as an intravascular approach to cerebral aneurysm therapy. In 1995, this technology was approved by the United States Food and Drug Administration and has been increasingly utilized worldwide for treating cerebral aneurysms with a big contribution by reducing mortality and morbidity rate.
In South Korea, Professor Youngjoon Kim found “Korean Endovascular Treatment Research Society” on 18 April 1996 as a subcommittee on the Korean Neurosurgical Society and it was later changed the Society of Korean Endovascular Neurosurgeons. With accumulated research and experience, their quality regarding GDC coil system now boasts a world-class surgical procedure. Since the first GDC operation by Dankook University Hospitals’ endovascular treatment team was successfully finished, more than two hundred patients of brain aneurysms have received Endovascular Coiling : GDC, Stent, and Thrombolysis every year and over 300 cases of cerebral angiography have implemented. The Prof. Youngjoon Kim’s medical team has also written numerous books and academic research in this field and they therefore has developed a brilliant cerebrovascular team in the country.
From domestic regions, Seoul, Daegu, and Jeju to foreign countries, Russia, Mongolia and so on, patients from diverse nations have visited Dankook University Hospitals for medical therapy of brain aneurysms. It entered into an agreement of mutual cooperation with the First Central Hospital of Mongolia and the Shastin Third State Central Hospital in July 2014 and June 2015 respectively. After the agreement, Prof. Kim visits to Mongolia regularly to carry out care activities and to participate symposium regarding endovascular treatment of cerebral aneurysm on the invitation of Mongolian Hospitals.